Huang Jinwei, Gan Yena, Li Duoduo, Xu He, Han Sheng, Zhu He, Jia Lu, Li Nan, Chen Huimin, Li Kai, Liu Ying, Cai Zhigang
Attending Dentist, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Department of General Dentistry Ⅱ, Peking University School and Hospital of Stomatology, Beijing, PR China.
Graduate student, Department of Tuina and Pain, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, PR China.
J Prosthet Dent. 2023 Oct 16. doi: 10.1016/j.prosdent.2023.09.016.
STATEMENT OF PROBLEM: The surgical extrusion technique has been advocated for severely damaged teeth as well as for intruded and unerupted teeth. However, a quantitative literature analysis is lacking. PURPOSE: The purpose of this bibliometric analysis was to provide a comprehensive overview of surgical extrusion, assess the applications and outcomes, and evaluate topics for future research. MATERIAL AND METHODS: An electronic search was conducted in leading databases in April 2023. Human studies with surgical tooth extrusion or synonyms in titles or abstracts were included. A bibliographic analysis, co-occurrence analysis, and coupling of publications were performed. The analysis of variance was used to assess the characteristics of the subgroups based on indications. The survival rate was evaluated by using the Kaplan-Meier method in the R software program (α=.05). RESULTS: Fifty-one studies from 1982 to 2023 were included. The Journal of Dental Traumatology and the Journal of Prosthetic Dentistry combined published approximately one-third of the papers and acquired the most citations. The burst detection of keywords revealed 4 popular research topics: the Benex extraction system, chlorhexidine for infection control, rigid or semi-rigid splints to decrease the risk of complications, and novel restorative materials to improve esthetics. An overall survival rate of 96.36% was reported among 316 participants with 330 extruded teeth. No significant differences were found in study types, geographic distribution, year of publication, or citation counts among the 4 subgroups (surgical extrusion for subgingival fractures, extensive caries, intruded teeth, and unerupted teeth). A significant difference was observed among the Kaplan-Meier curves of the 4 subgroups (P=.030). CONCLUSIONS: Surgical extrusion may be used to save otherwise nonrestorable teeth, and the procedure has shown promising survival rates when teeth are properly selected and the procedure is well executed. Subgingival fractures and extensive caries near bone level are the predominant indications, as well as intruded and unerupted teeth. Surgical extrusion is a reliable treatment option to facilitate tooth restoration for severely damaged teeth, especially for maxillary anterior teeth.
问题陈述：手术性牙齿挺出技术已被推荐用于严重受损的牙齿以及嵌入和未萌出的牙齿。然而，目前缺乏定量的文献分析。 目的：本文献计量分析的目的是全面概述手术性牙齿挺出，评估其应用和结果，并评估未来研究的主题。 材料与方法：2023年4月在主要数据库中进行了电子检索。纳入标题或摘要中包含手术性牙齿挺出或同义词的人体研究。进行了文献分析、共现分析和出版物耦合分析。采用方差分析基于适应证评估亚组的特征。在R软件程序中使用Kaplan-Meier方法评估生存率（α = 0.05）。 结果：纳入了1982年至2023年的51项研究。《牙外伤杂志》和《口腔修复学杂志》联合发表了约三分之一的论文，且被引次数最多。关键词的突发检测揭示了4个热门研究主题：Benex拔牙系统、用于感染控制的氯己定、降低并发症风险的刚性或半刚性夹板以及改善美观的新型修复材料。在316名参与者的330颗挺出牙齿中，报告的总体生存率为96.36%。4个亚组（用于龈下骨折、广泛龋坏、嵌入牙齿和未萌出牙齿的手术性牙齿挺出）在研究类型、地理分布、发表年份或被引次数方面未发现显著差异。4个亚组的Kaplan-Meier曲线之间观察到显著差异（P = 0.030）。 结论：手术性牙齿挺出可用于挽救原本无法修复的牙齿，当牙齿选择得当且手术执行良好时，该手术已显示出有希望的生存率。龈下骨折和接近骨水平的广泛龋坏是主要适应证，以及嵌入和未萌出的牙齿。手术性牙齿挺出是一种可靠的治疗选择，有助于严重受损牙齿的修复，尤其是上颌前牙。
Cochrane Database Syst Rev. 2016-10-17
Cochrane Database Syst Rev. 2009-4-15
Cochrane Database Syst Rev. 2015-12-31
Cochrane Database Syst Rev. 2017-12-28
Cochrane Database Syst Rev. 2018-5-31
Cochrane Database Syst Rev. 2014-7-29
Cochrane Database Syst Rev. 2021-8-13
Cochrane Database Syst Rev. 2018-1-16
Clin Oral Investig. 2024-6-19
Int J Comput Assist Radiol Surg. 2024-9
Zotero 插件